V.a.M. OT Services, LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

014520-1 Issued in NY

Legal business name

V.A.M. OT SERVICES, LLC

Practice address

8836 Doran Ave
Glendale, NY 11385-7932

Phone

(917) 373-5718

NPI assigned

Mar 14, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Vanessa Minagro

Title

Occupational Therapist

Phone

(917) 373-5718

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489449600000",
    "number": "1124569827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8836 DORAN AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857932",
            "telephone_number": "917-373-5718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8836 DORAN AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857932",
            "telephone_number": "917-373-5718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "V.A.M. OT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-14",
        "last_updated": "2017-03-14",
        "status": "A",
        "authorized_official_last_name": "MINAGRO",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "917-373-5718",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "014520-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.